Individual
DR. DAVID J KASTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, HENRY FORD DEPT. OF RADIOLOGY, DETROIT, MI 48202-2608
(313) 916-7425
(313) 916-7925
Mailing address
2799 W GRAND BLVD, HENRY FORD DEPT. OF RADIOLOGY, DETROIT, MI 48202-2608
(313) 916-7425
(313) 916-7925
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301046994
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112382
—
MI
Enumeration date
05/17/2006
Last updated
11/06/2009
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